Form ID

Publication date

Location of premises

Certificate

Installation of Underground Traffic Plant Contract #99-5012

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Regional Municipality of Ottawa-Carleton
Address of Owner
175 Loretta Ave., Ottawa, ON K1Y 4L8
Name of Contractor
O'Leary's Limited.
Address of Contractor
3200 Rideau Road, Ottawa, Ont. K1G 3N4.
Name of Certifier
Michael Flainek, P.Eng.
Address of Certifier
Same as owner

Office to which claim for lien must be given to preserve lien

Owner at above address